Individual
DR. LOUIS M GOLDBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
325 MEETING HOUSE LN, SOUTHAMPTON, NY 11968
(631) 283-7733
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
121305
NY
Other
Enumeration date
07/22/2005
Last updated
10/18/2018
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